| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $32,446 | $10,967 | 296% | — | 15 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $30,533 | $8,272 | 369% | — | 12 |
| Basic metabolic panelCPT 80048 | $54 | $8 | 633% | ~$107 | 17 |
| COPD with MCCMS-DRG 190 | $22,405 | $7,458 | 300% | — | 15 |
| CT abdomen and pelvis with contrastCPT 74177 | $1,661 | $378 | 439% | ~$758 | 17 |
| CT head without contrastCPT 70450 | $1,016 | $113 | 896% | ~$447 | 17 |
| CT pelvis with contrastCPT 72193 | $1,374 | $190 | 722% | ~$567 | 17 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $11,215 | $3,269 | 343% | — | 15 |
| Cardiac stress testCPT 93017 | $1,391 | $234 | 594% | $787 | 17 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $193,456 | — | — | — | 15 |
| Cataract surgery with IOL insertionCPT 66984 | $7,369 | $2,502 | 295% | — | 15 |
| Cellulitis, no MCCMS-DRG 603 | $17,616 | $6,149 | 287% | — | 15 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $47,455 | $16,343 | 290% | — | 15 |
| Cesarean section, no CC/MCCMS-DRG 788 | $15,278 | — | — | — | 15 |
| Cesarean section, with CCMS-DRG 787 | $16,200 | — | — | — | 15 |
| Chest painMS-DRG 313 | $14,300 | — | — | — | 15 |
| Colonoscopy with biopsyCPT 45380 | $2,857 | $1,297 | 220% | — | 15 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $2,857 | $1,297 | 220% | — | 15 |
| Colonoscopy with polyp removalCPT 45385 | $2,857 | $1,297 | 220% | — | 15 |
| Colonoscopy, diagnosticCPT 45378 | $2,431 | $1,008 | 241% | $1,028 | 17 |
| Complete blood count with differentialCPT 85025 | $49 | $8 | 633% | ~$72 | 17 |
| Complete blood count, automatedCPT 85027 | $41 | $6 | 633% | ~$59 | 17 |
| Comprehensive metabolic panelCPT 80053 | $67 | $11 | 634% | ~$138 | 17 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $82,427 | $29,950 | 275% | — | 15 |
| Diagnostic mammography, both breastsCPT 77066 | $434 | — | — | ~$260 | 17 |
| Diagnostic mammography, one breastCPT 77065 | $326 | — | — | ~$193 | 17 |
| ED visit, level 3CPT 99283 | $1,497 | $296 | 506% | $655 | 17 |
| ED visit, level 4CPT 99284 | $3,193 | $452 | 706% | $1,038 | 17 |
| ED visit, level 5CPT 99285 | $3,193 | $646 | 495% | $1,266 | 17 |
| Echocardiogram, completeCPT 93306 | $2,805 | $592 | 474% | $1,587 | 17 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $2,208 | $959 | 230% | $1,008 | 17 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $15,641 | $5,145 | 304% | — | 15 |
| Excision of breast lesionCPT 19120 | $7,111 | $4,245 | 168% | — | 15 |
| Family psychotherapy, with patientCPT 90847 | $441 | $192 | 229% | $250 | 17 |
| Family psychotherapy, without patientCPT 90846 | $581 | $192 | 302% | $329 | 17 |
| Group psychotherapyCPT 90853 | $183 | $110 | 167% | $101 | 17 |
| Heart failure and shock, with CCMS-DRG 292 | $17,173 | $5,927 | 290% | — | 15 |
| Heart failure with MCCMS-DRG 291 | $25,967 | $9,164 | 283% | — | 15 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $41,591 | $13,813 | 301% | — | 15 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $23,502 | $10,098 | 233% | — | 15 |
| Inguinal hernia repair, age 5+CPT 49505 | $8,619 | $3,882 | 222% | — | 15 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $16,088 | $5,590 | 288% | — | 15 |
| Kidney function panelCPT 80069 | $55 | $9 | 633% | ~$134 | 17 |
| Knee arthroscopy with meniscectomyCPT 29881 | $9,247 | $3,547 | 261% | — | 15 |
| Laparoscopic cholecystectomyCPT 47562 | $11,070 | $6,554 | 169% | — | 15 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $26,411 | $8,977 | 294% | — | 15 |
| Laparoscopic radical prostatectomyCPT 55866 | $23,840 | $11,524 | 207% | — | 8 |
| Left heart catheterization, diagnosticCPT 93452 | $9,262 | $3,515 | 264% | $3,978 | 17 |
| Lipid panelCPT 80061 | $85 | $13 | 633% | ~$103 | 17 |
| Liver function panelCPT 80076 | $52 | $8 | 633% | ~$162 | 17 |
| Lumbar epidural steroid injectionCPT 62323 | $2,190 | $765 | 286% | $1,218 | 17 |
| MRI brain with and without contrastCPT 70553 | $2,307 | $378 | 610% | ~$1,053 | 17 |
| MRI lower extremity joint (knee)CPT 73721 | $2,134 | $259 | 825% | ~$595 | 17 |
| MRI lumbar spine without contrastCPT 72148 | $2,068 | $259 | 799% | ~$595 | 17 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $37,795 | $12,930 | 292% | — | 15 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $64,086 | $22,346 | 287% | — | 15 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $47,380 | $16,427 | 288% | — | 15 |
| Medical back problems, no MCCMS-DRG 552 | $19,319 | $6,506 | 297% | — | 15 |
| OB ultrasound, 14+ weeksCPT 76805 | $844 | $113 | 745% | ~$504 | 17 |
| Obstetric blood test panelCPT 80055 | $399 | $48 | 834% | ~$362 | 17 |
| Office visit, established patient, level 3CPT 99213 | $442 | — | — | $244 | 15 |
| Office visit, new patient, level 3CPT 99203 | $442 | — | — | $244 | 15 |
| Office visit, new patient, level 5CPT 99205 | $519 | — | — | $286 | 15 |
| PSA (prostate specific antigen), totalCPT 84153 | $116 | $18 | 633% | ~$100 | 17 |
| Partial thromboplastin timeCPT 85730 | $38 | $6 | 632% | ~$56 | 17 |
| Physical therapy, therapeutic exerciseCPT 97110 | $156 | — | — | $88 | 17 |
| Prostate biopsyCPT 55700 | $3,546 | — | — | — | 10 |
| Prothrombin timeCPT 85610 | $25 | $4 | 580% | ~$32 | 17 |
| Psychotherapy, 30 minutesCPT 90832 | $366 | $192 | 190% | $202 | 17 |
| Psychotherapy, 45 minutesCPT 90834 | $426 | $192 | 221% | $267 | 17 |
| Psychotherapy, 60 minutesCPT 90837 | $511 | $192 | 266% | $282 | 17 |
| Renal failure, with CCMS-DRG 683 | $17,715 | $6,086 | 291% | — | 15 |
| Screening mammography, bilateralCPT 77067 | $412 | — | — | ~$246 | 17 |
| Sepsis with MCCMS-DRG 871 | $39,291 | $13,856 | 284% | — | 15 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $16,301 | $5,851 | 279% | — | 15 |
| Sleep study (polysomnography)CPT 95810 | $3,943 | $931 | 423% | $2,231 | 17 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $13,797 | $4,586 | 301% | — | 15 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $20,384 | $6,692 | 305% | — | 15 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $106 | $17 | 633% | ~$115 | 17 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $5,955 | $6,418 | 93% | — | 15 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $2,942 | $959 | 307% | $1,611 | 17 |
| Ultrasound, abdomen, completeCPT 76700 | $1,033 | $113 | 912% | ~$617 | 17 |
| Ultrasound, transvaginalCPT 76830 | $686 | $113 | 605% | ~$410 | 17 |
| Upper GI endoscopy with biopsyCPT 43239 | $2,486 | $983 | 253% | $1,057 | 17 |
| Upper GI endoscopy, diagnosticCPT 43235 | $2,431 | $983 | 247% | $1,057 | 17 |
| Urinalysis, automated, with microscopyCPT 81001 | $20 | $3 | 633% | ~$32 | 17 |
| Urinalysis, automated, without microscopyCPT 81003 | $14 | $2 | 632% | ~$24 | 17 |
| Urinalysis, manual, without microscopyCPT 81002 | $16 | $3 | 465% | ~$18 | 17 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $9,961 | — | — | — | 15 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $11,371 | — | — | — | 15 |
| X-ray, lower back, 4+ viewsCPT 72110 | $686 | $113 | 605% | ~$410 | 17 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $3,106 | $596 | 521% | — | 15 |